学习并给予患者富有同情心的护理：重症监护室护士的观点。

Learning and Giving Compassionate Care to Patients: Perspectives of the ICU Nurses.

作者信息

Vang'ota Dorice Zacharia, Masika Golden Mwakibo

机构信息

Department of Clinical Nursing, School of Nursing and Public Health, University of Dodoma, Dodoma, Tanzania.

出版信息

J Clin Nurs. 2025 Feb;34(2):542-553. doi: 10.1111/jocn.17580. Epub 2024 Dec 3.

DOI:10.1111/jocn.17580

PMID:39628096

Abstract

BACKGROUND

Compassion forms the basis for nursing practice and is an essential component of patient-centered care. It is vital, essential and of great significance to relieve patient's suffering and have a positive impact on the quality of care provided by a nurse. In the context of Tanzania, knowledge on learning and giving compassionate nursing care to patients remained unresearched.

AIMS

To explore nurse's perspectives on how they learn and give compassionate nursing care to patients in ICUs in Tanzania.

METHODOLOGY

A qualitative descriptive study design using in-depth interviews was conducted amongst eleven (11) ICU nurses of two hospitals in Dodoma region. Audio-recording and notetaking were used to collect data. Data from the audio records were transcribed verbatim and subjected to inductive thematic analysis using manifest codding approach with a semantic focus. We report this paper according to COREQ checklist.

RESULTS

Three themes emerged from data that summarised the nurses' perspectives on learning and giving compassionate care to patients in ICUs. These themes included (i) Sources and learning of compassionate nursing care (ii) Practicing compassionate nursing care and (iii) impact of compassionate nursing care. Overall, nurses in this setting expressed compassion to as a combination of empathy, ethical view, duty to care and readiness to go extra mile to address patients needs defined their unique view of compassion.

CONCLUSION AND RECOMMENDATION

Emphasis of compassionate nursing care in formal training curricula, role modelling on compassion in clinical settings and motivation of nurses in critical care settings may facilitate provision of compassionate nursing care amongst patients in ICUs.

RELEVANCE TO CLINICAL PRACTICE

The findings of the present study underscore the nurse's perspectives on compassionate nursing care and what motivates and prevents them to provide compassionate care to patients.

PATIENT OR PUBLIC CONTRIBUTION

No Patient or Public Contribution.

摘要

背景

同情心是护理实践的基础，是以患者为中心的护理的重要组成部分。减轻患者痛苦并对护士提供的护理质量产生积极影响至关重要、必不可少且意义重大。在坦桑尼亚的背景下，关于学习并给予患者富有同情心的护理的知识尚未得到研究。

目的

探讨坦桑尼亚重症监护病房护士对如何学习并给予患者富有同情心的护理的看法。

方法

采用定性描述性研究设计，对多多马地区两家医院的11名重症监护病房护士进行了深入访谈。使用录音和笔记收集数据。录音数据逐字转录，并采用以语义为重点的显性编码方法进行归纳主题分析。我们根据COREQ清单报告本文。

结果

数据中出现了三个主题，总结了护士对重症监护病房患者学习和给予同情护理的看法。这些主题包括：（i）富有同情心的护理的来源和学习；（ii）实践富有同情心的护理；（iii）富有同情心的护理的影响。总体而言，该环境中的护士表示，同情心是同理心、道德观、护理职责以及愿意不遗余力满足患者需求的结合，这定义了他们对同情心的独特看法。